From joining to leaving: automating user lifecycle management in healthcare

In healthcare organisations, things are constantly changing: new staff members start, roles change, and employees leave the organisation. Each of these moments requires adjustments in IT systems. Yet in many organisations, this is still largely done manually. This takes time, leads to errors, and introduces risks.

User lifecycle management is therefore no longer a secondary concern, but an essential component of a well-functioning IT organisation in healthcare.

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The reality: a lot of manual work and little visibility

In many healthcare institutions, the process looks something like this:

• HR notifies of a new employee's start
• IT manually creates accounts in multiple systems
• Permissions are set per system
• For role changes, everything must be manually rechecked
• At offboarding, accounts often remain active for too long

This leads to identifiable issues:

• Access that is delayed
• Incorrect or overly broad permissions
• Security risks due to forgotten accounts
• High workload on IT departments

Certainly in a sector where continuity and security are crucial, this is vulnerable.

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The insight: lifecycle management should be automated

The core of the problem lies not in complexity, but in the lack of coordination between systems.

HR systems, TOPdesk, Microsoft Entra, EPDs and other applications often operate side by side, without central orchestration. This results in manual work.

By connecting these systems and automating processes, a seamless, end-to-end lifecycle is created:

• Onboarding → automatic account creation and appropriate permissions
• Role change → automatic adjustment of access
• Offboarding → immediate and complete deprovisioning

No isolated actions anymore, but a single integrated process.

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The solution: automate with Service Automation Suite

With a platform such as Service Automation Suite, you centralise this process.

What this delivers concretely:

1. Automatic provisioning
New employees gain direct access to the right systems based on their role.

2. Consistent permission structure
Permissions are not manually assigned, but are based on role or department.

3. Real-time updates
When a role changes, access is automatically adjusted across all connected systems.

4. Secure offboarding
At offboarding, accounts are automatically and fully deactivated.

5. Reduced pressure on IT
IT no longer needs to manually handle tickets, but can manage processes instead.

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What does this mean in practice?

For healthcare organisations, this means:

• Faster onboarding of personnel
• Fewer errors and less recovery work
• Better security and compliance
• Greater peace of mind and visibility within IT

And perhaps most importantly: IT can once again focus on improvement rather than just maintenance.

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User lifecycle management is too important in healthcare to remain manual. By automating processes and integrating systems, organisations gain control, speed, and security.

Not by working harder, but by working smarter.

How is user lifecycle management structured within your organisation? And where does manual work still exist?

Do you have questions about this?

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